Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Home care services can provide a great number of benefits. If you are thinking about hiring a home carer to take care of your loved ones in the comfort of your own home, make sure that you are equipped to find the best candidate.
More details would helpful. None the less, do not try to "protect" your daughter instead of yourself. Just last week here in Las Vegas the crazy adult son in the household killed his mother and sister. A chainsaw and various ways the body parts were stashed around the house was confusing so that at first the police could not tell how many victims there were. The family knew this man was disturbed and told others they wished he would just go away. I'm pretty sure he'll be put away forever. And the mom and sister are also gone forever. Again, protect yourself, have a charged cell phone on you at all times and have a get away plan. Get help for her even if it includes forced mental hospitalization. A hospitalization is better than prison and alive is better than dead.
You are in a situation no mother should ever be in as you need now to make a choice of just how much abuse you're willing to take from your own daughter. You can love one and not respect them nor approve of their behavior; so you need to hang onto your love for her while "objectively" looking at her behavior.
I had a similar situation occur with my grown son. I had to finally admit I would be safer without him even though I love him dearly.
You say your daughter is "all I have"; and you have not explained your situation. So I have no idea what type of living situation your are in. I know for myself, I was in the country living on my social security and growing most of my own food. I am not elgible for any type of governmental help as my income is just above poverty. I needed my son to help with the chores on the farm I could no longer handle; still I finally had to admit my psychological, emotional and even physical health HAD TO BE A PRIORITY. So I solicited the help of the court system. Now I have no one EXCEPT MY HEAVENLY FATHER who has always provided for me. It is taking some getting use to; yet my Heavenly Father is still stepping in when I need Him. Just today a man came out to set up a new ISP service for me and asked if he could buy some of the goat meat I process each year. Now, I know when slaughter time comes around this fall, this man will come and help me; and in return I'll give him some of the meat.
I urge you to turn toward our loving Heavenly Father. Your daughter is truly not all you have even though at times it may seem that way.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
You are in a situation no mother should ever be in as you need now to make a choice of just how much abuse you're willing to take from your own daughter. You can love one and not respect them nor approve of their behavior; so you need to hang onto your love for her while "objectively" looking at her behavior.
I had a similar situation occur with my grown son. I had to finally admit I would be safer without him even though I love him dearly.
You say your daughter is "all I have"; and you have not explained your situation. So I have no idea what type of living situation your are in. I know for myself, I was in the country living on my social security and growing most of my own food. I am not elgible for any type of governmental help as my income is just above poverty. I needed my son to help with the chores on the farm I could no longer handle; still I finally had to admit my psychological, emotional and even physical health HAD TO BE A PRIORITY. So I solicited the help of the court system. Now I have no one EXCEPT MY HEAVENLY FATHER who has always provided for me. It is taking some getting use to; yet my Heavenly Father is still stepping in when I need Him. Just today a man came out to set up a new ISP service for me and asked if he could buy some of the goat meat I process each year. Now, I know when slaughter time comes around this fall, this man will come and help me; and in return I'll give him some of the meat.
I urge you to turn toward our loving Heavenly Father. Your daughter is truly not all you have even though at times it may seem that way.